A influência do treinamento muscular respiratório pré-operatório na recuperação de pacientes submetidos à esofagectomia

Ysayama, Luciana; Lopes, Luiz Roberto; Silva, Aurea Maria Oliveira; Andreollo, Nelson Adami

doi:10.1590/s0102-67202008000200004

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…For the inspiratory training all participants had to perform three sets of ten daily repetitions, starting from functional residual capacity (FRC) until reaching the inspiratory capacity (IC) and hold the ball for a period of five to eight seconds 15 .…”

Section: Resultsmentioning

confidence: 99%

Efeitos do exercício muscular respiratório na biomecânica da deglutição de indivíduos normais

et al. 2015

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RESUMO: Objetivo: analisar os efeitos do exercício respiratórios na biomecânica da deglutição de sujeitos normais. Métodos: o exercício muscular respiratório em sujeitos normais foi aplicado por sete dias consecutivos por meio de incentivador respiratório a fluxo (três séries de dez repetições para inspiração e expiração). A biomecânica da deglutição foi avaliada por videofluoroscopia, utilizando variáveis temporais (tempo de transição faríngea) e visuoperceptuais (número de deglutições, resíduos em seios piriformes e valéculas, penetração/aspiração). Para análise estatística foi aplicado o Teste de Wilcoxon, Igualdade de Duas Proporções e Kappa. Resultados: foram avaliadas 16 jovens do sexo feminino com média de idade de 21,2±3,4 anos. Nas variáveis visuoperceptuais observou-se concordância quase perfeita entre os avaliadores (p<0,001), bem como na temporal (p = 1,00). Após o período de treinamento houve redução no tempo de transição faríngea (p=0,02). Conclusão: o uso de incentivador respiratório a fluxo influenciou significantemente na biomecânica da deglutição, principalmente na redução do tempo de transição faríngea.

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Section: Resultsmentioning

confidence: 99%

Efeitos do exercício muscular respiratório na biomecânica da deglutição de indivíduos normais

et al. 2015

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“…The training with respiratory exercise was performed at home, with previous orientations given by a physiotherapist, through flow RI on the Respiron®, for a period of seven consecutive days. For inspiratory training, all participants should perform daily three sets of ten repetitions, starting from the Functional Residual Capacity (FRC) until reaching Inspiratory Capacity (IC) and sustaining the spheres for a period of five to eight seconds 15 . For the expiratory training, the Respiron® use was reversed.…”

Section: Methodsmentioning

confidence: 99%

Respiratory muscle training outcomes on swallowing biomechanics and respiratory function measures in normal subjects

et al. 2018

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Purpose: to verify the outcomes of respiratory muscle training (RMT) with flow-oriented incentive spirometer on respiratory function measurements and their relationship with the swallowing biomechanics variables. Methods: 29 subjects underwent training for seven consecutive days (three sets of ten repetitions for inspiration and expiration). The swallowing biomechanics was assessed by video fluoroscopy, using as temporal variable the pharyngeal transit time and as visuoperceptual variables the number of swallows, residues in pyriform sinuses and valleculae, and penetration/aspiration. Respiratory function measurements were assessed by maximal respiratory pressures and spirometry. Results: RMT influenced pharyngeal transit time (p=0.002) and maximal inspiratory pressure correlated with the number of swallows after RMT (ρ=0.62, p=0.01). There was a significant increase in the maximum respiratory pressures post RMT (p<0.0001). Conclusion: RMT increased maximal respiratory pressures and influenced the reduction of pharyngeal transit time. Besides that, there was a relation between the maximum inspiratory pressure and the number of post-training swallows.

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“…(16) Thus, evidence suggests that the respiratory muscle training (RMT) with load increase can increase muscle strength and reduce dyspnea (19,20) improve vital capacity and decrease the length of hospitalization. (21) The influence of the RMT at the time of weaning the patient in prolonged MV is still controversial, since some authors observed shorter weaning in patients who underwent training (22,23,24) while others do not. (25,26) Few studies research regarding the use of RMT devices in optimizing weaning exists there are no clear recommendations for their use.…”

Section: Introductionmentioning

confidence: 99%

Determinant factors for mortality of patients receiving mechanical ventilation and effects of a protocol muscle training in weaning.

Shimizu¹,

Manzano²,

Quitério³

et al. 2014

mtprehabjournal

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Introduction: Prognostic factors are used in the Intensive Care Unit (ICU) to predict morbidity and mortality, especially in patients on mechanical ventilation (MV). Training protocols are used in MV patients with the aim of promoting the success of the weaning process. Objective: To assess which variables determine the outcome of patients undergoing mechanical ventilation and compare the effects of two protocols for weaning. Method: Patients under MV for more than 48 hours had collected the following information: gender, age, ideal weight, height, Acute Physiology and Chronic Health Evaluation (APACHE II), risk of mortality, Glasgow Coma Scale (GCS) and index Quick and perfunctory (IRRS) breathing. Patients with unsuccessful weaning performed one of weaning protocols: Progressive T -tube or tube -T + Threshold ® IMT. Patients were compared for outcome (death or non-death in the ICU) and the protocols through the t test or Mann-Whitney test was considered significant when P <0.05. Results: Of 128 patients evaluated 56.25% were men, the mean age was 60.05 ± 17.85 years and 40.62% patients died, and they had higher APACHE II scores, mortality risk, time VM and IRRS GCS and the lower value (p<0.05). The age, initial and final maximal inspiratory pressure, time of weaning and duration of MV was similar between protocols. Conclusion: The study suggests that the GCS, APACHE II risk of mortality, length of MV and IRRS variables determined the evolution of MV patients in this sample. Not found differences in the variables studied when comparing the two methods of weaning. Keywords: Intensive Care Unit; Mortality; Ventilator weaning; Respiration, artificial; APACHE; Airway extubation. ResumoIntrodução: Fatores prognósticos são usados na Unidade de Terapia Intensiva (UTI) para predizer morbimortalidade, especialmente em pacientes em Ventilação Mecânica (VM). Protocolos de treinamento são utilizados em pacientes em VM com o intuito de promover o sucesso no processo de desmame ventilatório. Objetivo: Avaliar quais variáveis determinam a evolução de pacientes submetidos à ventilação mecânica e comparar os efeitos de dois protocolos de desmame ventilatório. Método: Pacientes em VM por mais de 48h tiveram as seguintes informações coletadas: sexo, idade, massa ideal, estatura, Acute Physiology and Chronic Health Evaluation (APACHE II), risco de mortalidade, Escala de Coma de Glasgow (ECGl) e Índice de Respiração Rápida e Superficial (IRRS). Pacientes com insucesso de desmame realizaram um dos protocolos de desmame: Tubo-T progressivo ou Tubo-T + Threshold ® IMT. Os pacientes foram comparados quanto ao desfecho (óbito ou não-óbito na UTI) e quanto aos protocolos por meio do Teste t ou Teste Mann-Whitney, foi considerado como significante p<0.05. Resultados: Dos 128 pacientes avaliados 56,25% eram homens, a idade média era 60,05±17,85 anos e 40,62% pacientes foram a óbito, sendo que estes apresentaram maiores valores de APACHE II, risco de mortalidade, tempo de VM e IRRS e menor valor de ECGl (p<0,05). A idade, pressão in...

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A influência do treinamento muscular respiratório pré-operatório na recuperação de pacientes submetidos à esofagectomia

Cited by 5 publications

References 10 publications

Efeitos do exercício muscular respiratório na biomecânica da deglutição de indivíduos normais

Efeitos do exercício muscular respiratório na biomecânica da deglutição de indivíduos normais

Respiratory muscle training outcomes on swallowing biomechanics and respiratory function measures in normal subjects

Determinant factors for mortality of patients receiving mechanical ventilation and effects of a protocol muscle training in weaning.

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